Laurie L. Abbott1, Christine L. Williams2
Student Poster submission
Minority Health Research
Introduction: Health disparities among rural African Americans include disproportionately higher morbidity and mortality rates associated with cardiovascular disease. Interventions designed to decrease cardiovascular risk can potentially improve health outcomes among rural, underserved communities. The purpose of this study was to test the effect of a cardiovascular health promotion intervention among rural African Americans.Method(s): An experimental study randomized by church clusters was done in two rural counties in northern Florida. A total of 229 participants, 114 in the intervention group and 115 in the control group, were recruited from twelve rural African American churches. The pretest-posttest design included instruments chosen to measure cardiovascular health habits and knowledge as well as changes in produce consumption, dietary fat intake, and exercise using the major components of the Integrated Model of Behavioral Prediction: intentions, norms, attitudes, and self-efficacy.
Results: Participants who received the intervention had significant gains in scores for the cardiovascular health habit (p < .001) and health knowledge (p < .001) variables compared with the control group. There were also significant group differences on gains in scores for intentions to consume more produce (p = .004), reduce dietary fat intake (p = .027), and increase exercise (p = .025). The statistically significant gains in scores also included produce consumption attitudes (p = .005) and norms (p = .004), dietary fat norms (p < .001), exercise attitudes (p < .001), and exercise perceived behavioral control/self-efficacy (p = .009).Discussion & Conclusions: Compared to the control group, the cardiovascular health promotion intervention was effective in fostering improvement in ten of the fourteen variables measured. The findings of the study support the theoretical model in predicting health behavior intentions. Nurse-led health promotion interventions in church settings can be effective means for reducing overall cardiovascular risk and health disparities among rural African American populations.
This abstract has not been presented or accepted for presentation in whole or in part at the SNRS or other scientific meeting.
No - Financial Interest